Non-intubate video assisted thoracoscopic under local anesthesia for catamenial pneumothorax.

We report a case of successful catamenial pneumothorax repair under local anesthesia and sedation. A female patient who presented with spontaneous pneumothorax with persistent air leak. Preoperative computed tomography did not reveal any abnormality. Surgery was planned for exploration. In the intraoperative field, we incidentally found a pore in the diaphragm. Therefore, we performed apical lung wedge and resect the pore at the diaphragm covered with a polypropylene mesh. The surgery was performed under anesthesia with intravenous drugs and an oxygen mask with a reservoir bag without endotracheal intubation. The patient was discharged 4 days after surgery and was doing well at 1-month follow-up. PMID: 32971062 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research